Bandera Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14068 Issued in TX

Legal business name

BANDERA DENTAL OFFICE

Practice address

8428 Bandera Rd
San Antonio, TX 78250-2543

Phone

(210) 681-1500

NPI assigned

Jul 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Florin Ionescu, D.D.S.NPI 1396864591

Title

President

Phone

(210) 681-1500

Specialties & licenses 1

Addresses

Tax ID family

Bandera Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bandera Dental

  • Dentist
  • San Antonio, TX
  • NPI 1992874085
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Florin Ionescu, D.D.S.

  • General Practice Dentistry
  • Boerne, TX
  • NPI 1396864591
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417973819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502543",
            "telephone_number": "210-681-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502543",
            "telephone_number": "210-681-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDERA DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IONESCU",
        "authorized_official_first_name": "FLORIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-681-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghassan Salim Issa Bandak, MD
• Himabindu Bandaru, MD
• Fatma Banday
• Sujani Bandela, MD
• Bandera Dental
• Bandera Emergency Physicians, PLLC
• Bandera Family Dental Practice
• Bandera Family Hospital LLC
• Bandera Modern Dentistry, PC
• Rachelle A. Bandino, PA-C

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.